Medicines that are similar to the hormone estrogen, can protect women from bone loss. However, they are not as effective as the bisphosphonates.

Fosamax and Actonel are taken weekly. Boniva is taken monthly.

Take medicine first thing in the morning on an empty stomach. Take with full glass of water. Do not eat or lie down for one hour after taking medicine to avoid stomach irritation.

Class of medication that decreases bone breakdown. Used in postmenopausal women and men to both treat osteoporosis and to prevent future fractures.

Medication

Prescription strength Calcium (1,000 to 1,1500 mg) and Vitamin D (800 IU).

Over-the-Counter

Bisphosphonates (Fosamax, Actonel, Boniva)

Instructions for bisphosphonates

Other medicines—Selective Estrogen Receptor Modulators (Evista)

Calcitonin—hormone that regulates the body’s calcium levels. Helpful for disorders in the spine, useful to treat pain from fractures located there.

Parathyroid hormone (Forteo) - daily injection used to treat severe osteoporosis.

Hormones